Analysis Of Factors Causing Poor Healing Of Scalp Incision After Cerebral Revascularization Surgery Of Moyamoya Disease

Objective:Cerebral revascularization surgery is the preferred treatment for moyamoya disease(a cerebrovascular disease).Poor healing of scalp incision is a common complication after surgery.This topic intends to study the factors of poor healing of postoperative scalp incision,and provide a certain basis for reducing the probability of its occurrence.Materials and Methods:Retrospective research methods were used to collect data on patients with moyamoya disease and cerebral revascularization surgery(The external carotid artery or occipital artery branch is anastomosed with the cerebral carotid artery cortical branch,meningo-temporal muscle-superficial temporal artery fusion or encephalo-duro-myo-synangiosis,etc.)in our hospital(the first affiliated hospital of Nanchang University)from 2012 to 2018.According to the diagnostic criteria for poor incision healing,those with poor incision healing were used as the observation group,and those with good healing were used as the control group.The data of two groups of patients were compiled,including gender,whether to keep the frontal branch of superficial temporal artery,age,operation time,history of hypertension,history of diabetes,history of tobacco and alcohol,history of bypass surgery on one side,and history of malnutrition.Establish a database and use SPSS25.0 statistics software for single factor and multifactor analysis.P <0.05 considered the difference to be statistically significant,and finally came to a conclusion.Result:1.According to the inclusion and exclusion criteria,a total of 397 cases were included in the statistical analysis,including 351 cases with good incision healing and46 cases with poor incision healing,accounting for 11.6%.2.The univariate analysis showed that the four factors of history of diabetes,history of hypertension,long operation time,and no preservation of the frontal branch of the superficial temporal artery were statistically different,and all were positively correlated.3.Multivariate analysis showed that the history of hypertension,no preservation of the frontal branches of the superficial temporal artery,and long operation time were positively related to the occurrence of poor postoperative incision healing,and the history of hypertension was the most significant.Conclusion:The history of hypertension,no preservation of the frontal branches of the superficial temporal artery,and the long operation time are the main factors for poor healing of the scalp incision after cerebral revascularization surgery of moyamoya disease.